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    vony wirawati
    This document discusses space occupying lesions of the brain. It begins by defining neoplasms as either benign or malignant, and primary or metastatic lesions of the brain. It also discusses various non-neoplastic lesions including abscesses, cysts, and injuries. Common presenting symptoms are described for different locations of lesions in the brain. Imaging findings are shown for various pathologies including tumors, infections, hemorrhages, and cysts. In summary, the document provides an overview of space occupying lesions of the brain through definitions, presentations, and radiological examples.

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    SOL Presentation

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    vony wirawati
    52 views11 pages
    This document discusses space occupying lesions of the brain. It begins by defining neoplasms as either benign or malignant, and primary or metastatic lesions of the brain. It also discusses various non-neoplastic lesions including abscesses, cysts, and injuries. Common presenting symptoms are described for different locations of lesions in the brain. Imaging findings are shown for various pathologies including tumors, infections, hemorrhages, and cysts. In summary, the document provides an overview of space occupying lesions of the brain through definitions, presentations, and radiological examples.

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    This document discusses space occupying lesions of the brain. It begins by defining neoplasms as either benign or malignant, and primary or metastatic lesions of the brain. It also discusses various non-neoplastic lesions including abscesses, cysts, and injuries. Common presenting symptoms are described for different locations of lesions in the brain. Imaging findings are shown for various pathologies including tumors, infections, hemorrhages, and cysts. In summary, the document provides an overview of space occupying lesions of the brain through definitions, presentations, and radiological examples.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    52 views11 pages

    SOL Presentation

    Uploaded by

    vony wirawati
    This document discusses space occupying lesions of the brain. It begins by defining neoplasms as either benign or malignant, and primary or metastatic lesions of the brain. It also discusses various non-neoplastic lesions including abscesses, cysts, and injuries. Common presenting symptoms are described for different locations of lesions in the brain. Imaging findings are shown for various pathologies including tumors, infections, hemorrhages, and cysts. In summary, the document provides an overview of space occupying lesions of the brain through definitions, presentations, and radiological examples.

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    © All Rights Reserved
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    of 11

    Space Occupying Lesions

    Nurul Arifatunissa, S. Ked


    Vony Wirawati, S. Ked

    Pembimbing:
    dr. Gomgom Henrico Sirait, Sp. N
    I n t r od u c ti o n
    Neoplasm
    “Intracranial Space Neoplasms may be benign or
    malignant and primary or metastatic
    Occupying Lesions”
    Non-neoplastic lesions
    Inflammatory causes: Abscess,
    Tuberculoma, Syphilitic gumma, fungal
    Granulomas.
    Parasitic infections: Cysticercosis,
    Hydrated cyst, amebic abscess,
    Schistosoma japonicum.
    Traumatic brain injury: Subdural &
    Extradural hematoma.
    Congenital causes: Dermoid, Epidermoid,
    Teratoma.
    Distribution of 200 cases of intracranial
    space-occupying lesions
    A total number of 150 patients with CT Brain Showed
    Space Occupying Lesion (SOL)

    79,3% 20,7%

    Age Groups
    Less than 20: 7.3%
    20 to 40: 64.7%
    40 to 60: 26%
    More than 60: 2%
    Presenting Symptoms & Signs in Patients with
    Intracranial Space-Occupying Lesions
    Generalized False Localizing & Localizing Signs & Symptoms
    Signs Lateralizing Signs
    &Symptoms
    •Headache •CN lesions Temporal Lobe:Behavioral changes,
    •Nausea,Vomiting •Horner's Syndrom Depersonalization, Hallucinations,
    •Seizures •Cerebellarsigns Quadrantanopia, Complex partial or generalized
    seizures
    •Personality
    Frontal Lobe :Personality changes, Hemiparesis,
    changes Expressive aphasia, Anosmia
    •Memory loss Parietal Lobe:Spatial disorientation, Hemisensory
    •Motor deficits loss, Receptive aphasia, Hemianopia
    •Sensory deficits Occipital Lobe :Contralateral hemianopia
    •Deficits of speech Cerebellum: Ataxia, Dysmetria, Nystagmus
    or vision Cerebello-pontine angle (Acoustic
    •Papilledema neuroma):Ipsilateral deafness, Tinnitus,
    Nystagmus, Ipsilateral cerebellar signs, Facial and
    Trigeminal palsies
    Pituitary tumors:Endocrine symptoms, Visual
    defects
    (a)Brain Axial scan showing increased subarchnoid space in posterior fossa with
    endosteal scalloping, vermis and cerebellar hemispheres are intact- Mega cistern
    magna.(b)Axial scan NCCT brain showing a well-defined extra-axial hypodense lesion
    with CSF density in the temporal region- Arachnoid cyst
    (a)Axial NCCT brain showing hyperdense lesion having blood attenuation with
    perilesional edema in the right gangliocapsular region-Hypertensive Bleed.Significant
    midline shift is noted towards contralateral side(b)Axial NCCT brain showing hyperdense
    linear lesions with associated intracerebral hemorrhage and edema- arteriovenous
    malformation related hemorrhage
    (a) Axial CECT brain showing multiple hypodense lesions showing ring enhancement
    with thinner medial walls in a patient with otomastoiditis- brain abscesses (b) Axial
    CECT brain showing multiple ring enhancing lesions in both cerebellar regions and
    perilesional edema, likely tuberculomas.
    (a) Axial CECT brain showing a well-defined hypodense non-enhancing lesion in fronto-
    parietal region with minimal mass effect-Low grade astrocytoma. (b) Axial CECT brain
    showing a large ill-defined hypodense intra-axial lesion in left temporoparietal regions
    with increased peripheral and central vascularity with perilesional edema -High grade
    astrocytoma.
    (a, b) Axial NCCT & CECT Brain showing an ill defined hypodense lesion in right
    cerebello pontine angle with perilesional edema.Widening of the internal auditory
    meatus was noted.Moderate contrast enhancement was seen in it-Schwanoma
    (a, b) Axial CECT brain showing multiple hyperdense lesions in a known case of renal
    cell carcinoma-Hemorrhagic metastasis

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